Journal
EUROPEAN JOURNAL OF IMMUNOLOGY
Volume 41, Issue 7, Pages 1832-1842Publisher
WILEY-BLACKWELL
DOI: 10.1002/eji.201041258
Keywords
Anti-CD3 mAb; Immune therapy; CD8; Treg
Categories
Funding
- NIH [DK057846, UL1 RR024139]
- Juvenile Diabetes Research Foundation [2005-1168]
- MacroGenics Inc.
- [2006-351]
- [2006-502]
- [2007-1059]
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Treatment with anti-CD3 mAb modulates immune responses that cause type 1 diabetes and other diseases. CD8(+) Tregs can be induced in vitro and in vivo by mAb. However, 1/3 of patients do not respond to drug therapy and in an equal proportion, anti-CD3 mAb does not induce Tregs in vitro. The acquisition of CD8(+) Treg activity is a function of the CD8(+) cells and not the targets in the assay. To identify markers to differentiate responses of CD8(+) Tregs, we analyzed genes differentially expressed in CD8(+) T cells of non-responders compared with responders, and found that an inhibitory receptor NKG2A (CD159a) was highly expressed in cells from all non-responders tested. Application of a mAb agonistic to NKG2A during in vitro CD8(+) Treg induction by anti-CD3 prevented induction of CD8(+) Tregs. CD8(+) T cells that are TNFR2(+) but NKG2A(-) are the most potently induced Tregs. The level of NKG2A expression on resting CD8(+) T cells inversely correlated with acquisition of regulatory function when activated. We suggest that the induction of human CD8(+) Tregs by anti-CD3 mAb is controlled by a negative signaling through NKG2A, and that NKG2A may serve as a negative marker of human CD8(+) Tregs.
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